Claessen K A, de Vries J T, Huisman S J, Dubbelman R, Van Rheenen C M, Van Dam F S, de Graaf P W
Division of Clinical Oncology, Antoni van Leeuwenhoek Hospital (The Netherlands Cancer Institute), Amsterdam.
Neth J Surg. 1990 Apr;42(2):47-9.
Hickman catheters can be used to secure prolonged access to the venous system. We have retrospectively analysed the incidence of complications, risk factors for the occurrence of complications and patient satisfaction in 120 catheters. The total number of complications was 30, leading to the removal of 15 catheters. The majority of complications were infectious, occurring 28 times and leading to catheter removal in 13 patients. Other complications (i.e. catheter thrombosis) were rare. The only identifiable risk factor for the occurrence of complications was the male gender, associated with a higher rate of catheter infection. Patient satisfaction after catheter insertion, assessed by a questionnaire to which 24 of the 30 patients responded, was high. This report indicates that the use of Hickman catheters is associated with an acceptable complication rate and a high level of patient satisfaction.
希克曼导管可用于确保长期接入静脉系统。我们回顾性分析了120根导管的并发症发生率、并发症发生的风险因素以及患者满意度。并发症总数为30例，导致15根导管被拔除。大多数并发症为感染性并发症，发生28次，13例患者因此拔除导管。其他并发症（如导管血栓形成）很少见。唯一可识别的并发症发生风险因素是男性，其导管感染率较高。通过问卷调查评估导管插入后的患者满意度，30名患者中有24名做出回应，结果显示满意度较高。本报告表明，使用希克曼导管的并发症发生率可接受，患者满意度较高。
